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Open AccessArticle

Association of Low Bone Mass with Decreased Skeletal Muscle Mass: A Cross-Sectional Study of Community-Dwelling Older Women

1
Department of Rehabilitation, Faculty of Health Sciences, Naragakuen University, Nara 631-8524, Japan
2
Department of Physical Therapy, Faculty of Health Sciences, Kyoto Tachibana University, Kyoto 607-8175, Japan
3
Department of Physical Therapy, Faculty of Rehabilitation, Kobe International University, Kobe 658-0032, Japan
*
Author to whom correspondence should be addressed.
Healthcare 2020, 8(3), 343; https://doi.org/10.3390/healthcare8030343
Received: 10 July 2020 / Revised: 11 September 2020 / Accepted: 14 September 2020 / Published: 16 September 2020
(This article belongs to the Special Issue Health Care and Services for Elderly Population)
This study aimed to investigate the characteristics of skeletal muscle mass, muscle strength, and physical performance among community-dwelling older women. Data were collected from 306 older adults, and the data of 214 older women were included in the final analysis. Participants’ calcaneus bone mass was measured using ultrasonography. Based on their T-scores, participants were divided into the following three groups: normal (T-score > −1), low (−2.5 < T-score ≤ −1), and very low (T-score ≤ −2.5) bone mass. Further, participants’ skeletal muscle mass, muscle strength (grip and knee extension strength), and physical performance [gait speed and timed up and go (TUG)] were measured. Arm skeletal muscle index (SMI, skeletal muscle mass/height2), leg SMI, and appendicular SMI in the very low bone mass group were low compared to those of the low bone mass group (p = 0.034, p = 0.011, and p = 0.009, respectively). Grip and knee extension strength, gait speed, and TUG were not significantly different between the groups. These findings suggest that older women with low bone density had decreased skeletal muscle mass. Therefore, maintaining or improving skeletal muscle mass may prevent low bone mass. View Full-Text
Keywords: older women; bone mass; skeletal muscle index; grip strength; knee extension strength; gait speed; timed up and go older women; bone mass; skeletal muscle index; grip strength; knee extension strength; gait speed; timed up and go
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Nonaka, K.; Murata, S.; Nakano, H.; Anami, K.; Shiraiwa, K.; Abiko, T.; Goda, A.; Iwase, H.; Horie, J. Association of Low Bone Mass with Decreased Skeletal Muscle Mass: A Cross-Sectional Study of Community-Dwelling Older Women. Healthcare 2020, 8, 343.

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